What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status. 
• Using IV heroin
• Negative abdomen & pelvis CT 
• Given 4L of IV fluids & 4.5g IV Zosyn

...

Clips 1 and 2 demonstrate a mobile mitral valve mass consistent with a vegetation secondary to endocarditis in this young patient with fever. The classic finding is visualization of an irregularly shaped echogenic mass, usually on the upstream side of the valve with independent oscillating movement. Associated regurgitant flow may also be appreciated by applying color Doppler over the valve.

#Clinical #POCUS #Echocardiogram #PLAX #Infective #Endocarditis #MitralValve #Vegetation